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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1191-4760 | Other Identifier | WHO UTN |
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The authors study the efficacy of the pudendal versus penile block for the relief of postoperative pain in children receiving ambulatory circumcision.
In this prospective, double-blind, randomized, parallel-arm trial, 60 children recruited during the anesthesia consultation will be allocated a general anesthesia with a pudendal block (PUD group) or a penile block (PEN group).
Each block will be made with equal parts lidocaine 1% and ropivacaine 0.75% (0.3 ml/kg).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pudendal Block | Active Comparator | The anesthesia is produced by blocking the pudendal nerves near the ischial spine of the pelvis.Local anesthetic (mixed of ropivacaine and lidocaine) is injected into the pudendal canal where the pudendal nerve is located. |
|
| Penian Block | Active Comparator | The anesthesia is produced by blocking the dorsal penile nerves. Local anesthetic (mixed of ropivacaine and lidocaine)is injected under the pubis symphysis just below the Buck fascia where the nerve is located. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| circumcision | Procedure |
| ||
| Lidocaine |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain score | using the FLACC (Face Leg Activity Cry Consolability) Scale | pain score at 0 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Degree of satisfaction of the patient or his/her parents and the surgeon assessed by telephone interview | telephone interview | Day 5 after the procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| John Nicolardot, MD | Contact | +3225555288 | nicolardotjohn@gmail.com | |
| John Nicolardot | Contact | nicolardotjohn@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Erasme | Recruiting | Bruxelles Capitale | 1070 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21790518 | Background | Naja Z, Al-Tannir MA, Faysal W, Daoud N, Ziade F, El-Rajab M. A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomised controlled trial. Anaesthesia. 2011 Sep;66(9):802-7. doi: 10.1111/j.1365-2044.2011.06753.x. Epub 2011 Jul 25. | |
| 20849498 | Background | Faraoni D, Gilbeau A, Lingier P, Barvais L, Engelman E, Hennart D. Does ultrasound guidance improve the efficacy of dorsal penile nerve block in children? Paediatr Anaesth. 2010 Oct;20(10):931-6. doi: 10.1111/j.1460-9592.2010.03405.x. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D002944 | Circumcision, Male |
| D008012 | Lidocaine |
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D046289 | Body Modification, Non-Therapeutic |
| D003357 | Cosmetic Techniques |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| Drug |
|
| Ropivacaine | Drug |
|
| 22023417 | Background | O'Sullivan MJ, Mislovic B, Alexander E. Dorsal penile nerve block for male pediatric circumcision--randomized comparison of ultrasound-guided vs anatomical landmark technique. Paediatr Anaesth. 2011 Dec;21(12):1214-8. doi: 10.1111/j.1460-9592.2011.03722.x. |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013521 | Urologic Surgical Procedures, Male |
| D013520 | Urologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |